Active NPI
Laken Dean Vargo, MS, LMHC
- Mental Health Counselor
- Silverdale, WA
National Provider Identifier
1043799554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61025089
- Practice address
- 2819 NW Kitsap PL Ste 2B
Silverdale, WA 98383-7688 - Phone
- (360) 697-1141
- NPI assigned
- Aug 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61025089 | WA | Primary |
Addresses
Primary practice location
2819 NW Kitsap PL Ste 2B
Silverdale, WA 98383-7688
Mailing address
PO Box 1611
Poulsbo, WA 98370-0197
Phone (360) 697-2395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20174 Front St NE
Poulsbo, WA 98370-7445
Phone (360) 697-1141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH61025089 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Front Street Clinic Inc | Current | Accepting new patients | |
| Wandee J. Pryor, Psy.D., LLC | Past | Accepting new patients |
Locations
20174 Front St NE
Poulsbo, WA 98370
Phone (360) 626-9034
2819 NW Kitsap Pl
Ste 2B
Silverdale, WA 98383
Phone (360) 689-4964
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Poulsbo, WA
- NPI 1457532913
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Poulsbo, WA
- NPI 1376043232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1043799554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1611",
"city": "POULSBO",
"state": "WA",
"postal_code": "983700197",
"telephone_number": "360-697-2395",
"fax_number": "360-697-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 NW KITSAP PL STE 2B",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837688",
"telephone_number": "360-697-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGO",
"first_name": "LAKEN",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "MS, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-07",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61025089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.